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Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-03-2014 | Original Article

Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

Authors: Gary R. Bond, Robert E. Drake, Gregory J. McHugo, Alison E. Peterson, Amanda M. Jones, Jessica Williams

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 2/2014

Abstract

This study examined rates of sustainability, defined as program continuation, and factors associated with sustainability 6 years after full implementation of five evidence-based practices in 49 sites in the National Implementing Evidence-Based Practices Project. Based on interviews with agency leaders and state leaders, 47 % of sites sustained the practice for 6 years, 16 % restarted the practice after a period of discontinuation, and 37 % discontinued the practice permanently. Agency leaders from discontinuing sites identified inadequate financial support, lack of prioritization, and workforce issues as barriers to continuation. Adequate financing, ongoing supervision, and monitoring of fidelity and outcome may promote long-term sustainability.

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Title: Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies
Authors: Gary R. Bond
Robert E. Drake
Gregory J. McHugo
Alison E. Peterson
Amanda M. Jones
Jessica Williams
Publication date: 01-03-2014
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 2/2014
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-012-0461-5

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Long-Term Sustainability of Evidence-Based Practices in Community Mental Health Agencies

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